艾滋病并发肺结核的胸部改变(附29例X线分析)  

Radiographic Analysis of Pulmonary Tuberculosis in Patients with the Acquired Immunodeficiency Syndrom (AIDS)

作　　者：路晓东[1] B.N.Ndosi 

机构地区：[1]青岛医学院附属医院放射科 [2]坦桑尼亚姆嗨姆比利医疗中心

出　　处：《实用放射学杂志》1993年第2期76-78,共3页Journal of Practical Radiology

摘　　要：作者在坦桑尼亚工作期间,收集到一组(29例)非洲成人艾滋病并发肺结核病例。就其胸部X线表现进行了分析,较突出的表现为:(1)病变分布广泛,多同时累及两侧肺,无一例病变仅局限于上肺野。(2)合并肺门及纵隔淋巴结肿大者16例,出现率为55％。(3)17例(58.6％)出现空洞。(4)5例有纤维条索影,无一例出现钙化。艾滋病并发肺结核的确诊需靠HIV血清抗体试验及痰细菌学检查。29 cases of pulmonary tuberculosis in African adult patients with the acquired immune deficiency syndrome (AIDS) were collected when the author worked in Africa. The chest films were studied. The radiographic features were summerized: (1)Diffuse infiltration involving both lungs in 22 cases. No patient had localized tuberculosis involving the upper lung field only. (2) Hilar and mediastinal lymphadenopathy was revealed in 16 (55％) cases. (3) Pulmonary cavitations were found in 17 (58.60％)cases. (4) Fibrosis was noted in 5 cases. No calcification was seen. The radiographic diagnosis must be confirmed by HIV examination and sputum culture for mycobacterium tuberculosis.

关 键 词：艾滋病 肺结核 X线诊断 肺疾病 

分 类 号：R816.4[医药卫生—放射医学]